Individual
STELLA J JEONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1516 N BOSWORTH AVE APT 3, CHICAGO, IL 60642-2488
(469) 328-3892
Mailing address
1516 N BOSWORTH AVE APT 3, CHICAGO, IL 60642-2488
(469) 328-3892
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
070.026006
IL
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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